HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/29/21 Permit Number:
18
O U. .�. t
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Garage Door
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Address: 5626 Travelers Way
Property Tax ID#: 3410-503-0047-000-3 Lot No.2
Site Plan Name: Palm Grove Block No. B
Project Name:
Remove and haul away exsiting garage door. Install new 9 x 7 Wayne Dalton Model 8000 white +46/-52 PSF
New Electrical Meter Second Electrical Meter
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Additional work to be performed under this permit—check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters y Windows/Doors ^ Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1100.00 Utilities: —Sewer _Septic Building Height:
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Namel-ola DiGuiseppi Name: DeAnn Prue
Address:5626 Travelers Way Company: Doors & More of the Treasure Coast, Inc.
City: Palm Grove , FI. State:_ Address: 837 S. Kings Hwy.
Zip Code: 34945 Fax: City: Ft. Pierce State: FI.
Phone No.407-840-2892 Zip Code: 34945 Fax: 772-252-4633
E-Mail:deann@doorsandmore.com Phone No 772-409-4501
Fill in fee simple Title Holder on next page( if different E-Mail deann@doorsandmoretc.com
from the Owner listed above) State or County License CRC-1331540
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
"DESIGNWEREGiNEE Not Applicable MORTGAGE CQMIAIVY: Not Applicable
Name: Name:
Address:
Address:
City: State. City: State:
Zip: Phone Zip: Phone:
- _--_ __
FEE SIMPLE TITLE HOLDER: � Not Applicable I BONDING COMPANY: Not Applicable
Name: Name:
Address: Address.
City City:
Zip Phone: ---------�-- .
Zip. Phone
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OWNER[CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie CountY makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict with any applicable Home owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure,Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,i do hereby agree that I will,in all respects,perform the work
In accordance with the approved plans,the Florida Building Codes and St,Lucie County Amendments.
The following building permit applications are exempt from undergoing a full con currency review:room additions,
accessory structures,swimming pools,fences,wails,signs,screen rooms and accessory use to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property.A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain Ttnancing,consult
with lender or an attorney before commencingwork or recording your Notice of Corrttrt .ncernent.
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Signature of Owner/Lessee/Contractor as Agent for owner
STATE OF FLORIDA
COUNTY QF i. - l_��S.
Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization
this day of 20,24� by
Name of person snaking statement.
Personally Known- - OR Produced identification
Type of,Identification Produced
0
(Signature of Notary Public-State of f'lorida y _..�.. ...mm.w
KAREN Q'ONOFRIO i
Commission No. ; __ (Seal) ? ,AY COMM #GG 237558
.;
e EXPIRES:August 5,2022
'JFdF f'°c' Bonded Thru Notary Public UnCerwdters
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REVIEWS FRONT ZONING SUPERVISOR PLANS ! VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW l REVIEW REVIEW REVIEW
DATE - ---- - - ........
RECEIVED
DATE i -----
evOM
� 20121
PLETED
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Doors & More of the Treasure Coast, Inc.
837 S King's Highway
Ft. Pierce, FL 34945
P: (772) 409-4501
Doors & More F: (772) 252-4633
www.doorsandmoretc.com
Name /
Address
Street City
Phone '67 /9— 3 XS E-mail
Door Size � � Model ✓�.._
Windload'�'-'� —�
Color: '''
�WhitAlmond Brown Oak Cherry $
Tear Out �lv�� Gt \ �� IV� C_
1p
Insulation N O `(moo�-� �U v $ 1 D q0
2 X 6 PT Jambs Q K $
Operator $
Remotes: 1 2 3 Rail: 7 Ft 8 Ft
KeyPad $
Re hook-up to existin motor: Yes No
Trim: Yes <SN2� $
Additional Notes: �� �' (� d6
fJ�5A Permit $
Subtotal $
00
Deposit $ d
Balance $ ��
Accepted by Customer Date I g-
Signature